REGISTRATION FORM Please send scanned version with signature to Pixel via e-mail to the following address: [email protected] I, the undersigned Name Surname Date of Birth Place of Birth Institution Role in the institution Address / City Country Telephone Number/s e-mail Ask to pre-register for the following edition of the international seminar on European Project Management organised by Pixel: Edition 15: 22- 26 May 2017 Edition 16: 2 – 7 October 2017 Participation Fee € 560 € 420 Individual participant or small group Discounted fee as member of a group of at least 6 participants (25% discount) Extra charges for optional packages: Half Board Package including: 7 nights accommodation in single room + 6 Buffet Lunches € 730 B&B package including: 7 nights accommodation in single room € 630 Lunches only package: 6 Buffet Lunches at Pixel during the seminar € 100 Half Board Package including: 7 nights accommodation in double room + 6 Buffet Lunches € 520 per person B&B package including: 7 nights accommodation in double room € 420 per person Total fee for the package chosen € The above mentioned fee will be covered by: An Erasmus+ Grant My institution The undersigned I found out about this seminar through The undersigned authorizes Pixel to use the data provided in the enclosed Registration Form in the framework of the activities carried out for the seminar. Signature Place and date
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